STACY ANN BAUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003350

License Status

ACTIVE

Business

First Name

STACY

Middle

ANN

Last Name

BAUM

Business Name

STACY ANN BAUM

Original Issue Date

10/08/2008

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

SOUTH ELGIN

State

Zip

60177

Ever Disciplined

LastModifiedDate

02/27/2026